Robert WM Congdon, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D11508 Issued in MN

Practice address

3950 Veterans Dr
#101
Saint Cloud, MN 56303-3424

Phone

(320) 252-3330

Fax

(320) 252-0802

NPI assigned

May 18, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 23, 2016 through Mar 23, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Scott E Stamp DDS PLLC Robert W Congdon DMD

  • Dentist
  • Saint Cloud, MN
  • NPI 1518910504
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1932152154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 VETERANS DR",
            "address_2": "#101",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563033424",
            "telephone_number": "320-252-3330",
            "fax_number": "320-252-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 VETERANS DR",
            "address_2": "#101",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563033424",
            "telephone_number": "320-252-3330",
            "fax_number": "320-252-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONGDON",
        "first_name": "ROBERT",
        "middle_name": "WM",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D11508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kari A O Comnick, CNS
• Thomas H Como, DDS
• Companioin Caregivers LLC
• Kaylee Brooke Condon
• Stephanie M Cone, PHARM.D.
• Tamara W Congdon, MD
• Madeline Conklin
• Connect.Home.Healthcare
• Connecting Cultures LLC
• Megan Carol Connelly

• Dentist in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.